DR. Roger Glen Grimball JR., D.D.S.

NPI #1003830597 in Sulphur, Louisiana

Provider Information

NPI Number
1003830597
Entity Type
Individual
Name
DR. Roger Glen Grimball JR., D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Jul 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
910 BEGLIS PKWY
ZIP Code
70663-5102
Phone
(337) 625-2212

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Organizations

Provider Name
Roger Glen Grimball Jr. D.d.s. LLCNewBizBotAI Deep Dive

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